DOTmed Home MRI Oncology Ultrasound Molecular Imaging X-Ray Cardiology Health IT Business Affairs
News Home Parts & Service Operating Room CT Women's Health Proton Therapy Endoscopy HTMs Mobile Imaging
SEARCH
Current Location:
>
> This Story


Log in or Register to rate this News Story
Forward Printable StoryPrint Comment

 

CT Homepage

Shared Imaging provides mobile imaging systems to Kelsey-Seybold Clinic for monthly fee "Functional service" business model

Study suggests classifying Traumatic Brain Injury with new CT scoring systems 'Stockholm' and 'Helsinki' CT scores best for predicting patient outcomes

How is XR-29 impacting hospitals and their CT service agreements? Many facilities face choices and there's no single right answer

Yale researchers develop SPECT/CT tracer to risk-stratify patients with abdominal aortic aneurysm Preclinical studies show promise

Cinematic rendering generates photorealistic images using CT and MR data May improve physician-patient communication

Samsung's upgraded BodyTom Elite CT scores FDA clearance Previous generation introduced six years ago

Kaiser ERs reduce unnecessary CT scans with 'well-validated decision rules' Progress implementing the Canadian CT Head Rule

CT screening may help smokers quit Creating a 'teachable moment for smoking cessation'

Researchers develop new PET/CT technique to more accurately diagnose cardiac sarcoidosis Can spot the disease in other organs as well

Philips and West Physics partner on CT dose management program Deal aims at helping providers meet dose management needs

Patients at hospital-based clinics more likely to get unnecessary services: Study

by Lauren Dubinsky , Senior Reporter
Patients with back pain, headaches and upper respiratory infections are more likely to receive low-value care at hospital-based primary care clinics than at community-based primary care clinics.

Those were the findings of a new study published in JAMA Internal Medicine.

Story Continues Below Advertisement

RaySafe helps you avoid unnecessary radiation

RaySafe solutions are designed to minimize the need for user interaction, bringing unprecedented simplicity & usability to the X-ray room. We're committed to establishing a radiation safety culture wherever technicians & medical staff encounter radiation.



Providers at hospital-based clinics were shown to refer too many patients to specialists and order too many CT, MR and X-ray exams. This brings into question the value of care that is delivered in these settings.

Researchers at Harvard Medical School and David Geffen School of Medicine at UCLA compared the records of 31,000 appointments over a 17-year period from two national databases. They excluded patients with complex symptoms that suggested serious disorders.

They found that the hospital-based clinics and community-based clinics prescribed antibiotics at about the same rate. But those who visited hospital clinics were referred for MR and CT exams more than those who went to community clinics — 8 percent and 6 percent, respectively.

Thirteen percent of hospital-based clinic patients were referred for X-rays compared to 9 percent for community-based clinic patients. The biggest difference involved those evaluated by a specialist — 19 percent versus about 8 percent, respectively.

Dr. John Mafi, the study’s lead author and physician at UCLA, speculated that physicians working in hospitals may be more likely to refer patients for those imaging procedures because they’re more immediately accessible and convenient.

Mafi and his team concluded that the key factor driving the disparity is the location of the clinic rather than whether the clinic is owned by a hospital or physician. Besides referring patients to specialists more often, hospital-owned clinics delivered similar quality care to physician-owned clinics.

“An estimated one-third of health care spending in the United States stems from services that provide low-value care,” Mafi said in a statement. “Reducing the use of such services can not only help curb health care costs — and redirect such resources in more meaningful ways — but it can also protect patients from the potentially harmful effects associated with them.”

The patients who were most likely to receive unnecessary tests and services were those visiting hospital-based primary care clinics and seeing someone other than their usual physician. That shows that patients may be over-tested when they jump from physician to physician.

“Not seeing your regular primary care physician — what we call discontinuity of care — might be a weak spot where low-value care can creep in,” Dr. Bruce Landon, the study’s senior author and professor at Harvard Medical School, said in a statement. “The more we know about what situations are most likely to lead to patients receiving low-value care, the more we can do to prevent it.”

CT Homepage


You Must Be Logged In To Post A Comment

Advertise
Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Directory
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Requests
Gold Service Dealer Program
Receive RFP/PS
Requests
Healthcare Providers
See all
HCP Tools
Jobs/Training
Find/Fill
A Job
Parts Hunter +EasyPay
Get Parts
Quotes
Recently Certified
View Recently
Certified Users
Recently Rated
View Recently
Certified Users
Rental Central
Rent Equipment
For Less
Sell Equipment/Parts
Get The
Most Money
Service Technicians Forum
Find Help
And Advice
Simple RFP
Get Equipment
Quotes
Virtual Trade Show
Find Service
For Equipment
Access and use of this site is subject to the terms and conditions of our LEGAL NOTICE & PRIVACY NOTICE
Property of and Proprietary to DOTmed.com, Inc. Copyright ©2001-2017 DOTmed.com, Inc.
ALL RIGHTS RESERVED